Gut Liver.  2021 Nov;15(6):904-911. 10.5009/gnl20329.

A National Survey on the Environment and Basic Techniques of Endoscopic Retrograde Cholangiopancreatography in Korea

Affiliations
  • 1Department of Internal Medicine, Korea University College of Medicine, Seoul, Korea.
  • 2Department of Internal Medicine, Hallym University College of Medicine, Anyang, Korea.
  • 3Department of Internal Medicine, Kwangju Christian Hospital, Gwangju, Korea.
  • 4Department of Internal Medicine, Seoul National University College of Medicine, Seoul, Korea.
  • 5Department of Internal Medicine, College of Medicine, The Catholic University of Korea, Seoul, Korea.
  • 6Department of Internal Medicine, Eulji University College of Medicine, Seoul, Korea.
  • 7Department of Internal Medicine, University of Ulsan College of Medicine, Seoul, Korea.
  • 8Department of Internal Medicine, Seoul National University Boramae Medical Center, Seoul, Korea.
  • 9Department of Internal Medicine, Chungnam National University College of Medicine, Daejeon, Korea.
  • 10Department of Internal Medicine, Soonchunhyang University School of Medicine, Bucheon, Korea.
  • 11Department of Internal Medicine, Ilsan Paik Hospital, Inje University College of Medicine, Goyang, Korea.
  • 12Department of Internal Medicine, Sanggye Paik Hospital, Inje University College of Medicine, Seoul, Korea.
  • 13Department of Internal Medicine, Wonkwang University School of Medicine, Iksan, Korea.
  • 14Department of Internal Medicine, Catholic University of Daegu School of Medicine, Daegu, Korea.
  • 15Department of Internal Medicine, Chonnam National University Medical School, Gwangju, Korea.
  • 16Department of Internal Medicine, Dongsan Medical Center, Keimyung University School of Medicine, Daegu, Korea.

Abstract

Background/Aims
The work environment in which endoscopic retrograde cholangiopancreatography (ERCP) is conducted has influence on its efficacy and safety. We aimed to assess the current status of ERCP work environments and to investigate the trends associated with the basic techniques of ERCP in Korea.
Methods
The work environment and information on the basic techniques of ERCP were acquired by the Korean Pancreatobiliary Association (KPBA) through a national survey in 2019. The survey was performed at the KPBA conference in 2019. The contents of survey comprised of the current environment of ERCP, preparation before ERCP, and the preferred basic techniques used in ERCP.
Results
Completed questionnaires were returned from 84 KPBA members. The mean ERCP volume per year was approximately 500. About 60% (50/84) reported that they worked with a dedicated ERCP team with experienced nurses. Two-thirds (57/84, 68%) answered that they had a fluoroscopy room used solely for ERCP procedures. All respondents intravenously hydrated the patient to prevent post-ERCP pancreatitis (84/84, 100%). The preferred procedural sedations were balanced propofol sedation (50%) and midazolam-only sedation (47%). Wire-guided cannulation was most commonly used for selective cannulation (81%). Endoscopic retrograde biliary drainage was preferred over endoscopic nasobiliary drainage (60% vs 22%). The initial method of ampullary intervention was endoscopic sphincterotomy in 60%.
Conclusions
Data from the survey involving a large number of Korean ERCP doctors revealed considerable variabilities with regard to the work environment and basic techniques of ERCP in Korea. The study provides information regarding the current trends of ERCP that can be used to establish ERCP standards in Korea.

Keyword

Endoscopic retrograde cholangiopancreatography; Current status; Survey
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